221285 06/18/2013 - CITY OF CARMEL, INDIANA VENDOR: 00352777 Page 1 of 1
ONE CIVIC SQUARE USA BLUE BOOK
? CHECK AMOUNT: $86.43
CARMEL, INDIANA 46032 Po sox 9004
oaao, GURNEEIL 60031-9004 CHECK NUMBER: 221285
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 964752 86 . 43 OTHER EXPENSES
T908lUeBook
INVOICE
Get the Best Treatment'" •
Remit To:
964752 1 of 1
P.O.Box 9004 • •
Gurnee,IL 60031-9004 163145 05/20/13
TEL: (847)689-3000
FAX: (847)689-3001
TOLL FREE: 1-800-493-9876
F.E.I.N.: 52-2418852 View online at: http://usabluebook.billtrust.com
Web Enrollment Token: LRK FMW FFS
BILL TO: 163145 SHIP TO: 7
745 1 MB 0.405 E0177X 10211 D697424347 P1454590 0001:0001
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CARMEL UTILITIES DAN JENKINS
3450 W 131 ST ST 4915 E 106TH ST
CARMEL IN 46074-8267 CARMEL IN 46033
USA
Attention:0003 DAN JENKINS
CUSTOMER P.O.NO. SHIP DATE SLP TERMS TAX CODE ' SALES ORDER No.' W/H FREIGHT SHIP VIA
—DAN 052013B 05/20/13 _ CLH NET 30 _ INEXEMPT 668710 01 PREPAID _ _ _ UPS
USA STOCK NO. DESCRIPTION ORDERED SHIPPED BACKORDER U/M PRICE PER EXTENSION
68399 1/2'Tube x 3/8'NPT(Mate) 12 12 0 EA 1.37 EA 16.44
Polypropylene Male Connector
68400 1/2'Tube x 1/2'NPT(Male) 12 12 0 EA 1.46 EA 17.52
Polypropylene Male Connector
68407 1/2'Tube x 1/2'NPT(Male) 12 12 0 EA 1.65 EA 19.80
Polypropylene Male Elbow
68406 1/2'Tube x 3/8'NPT(Male) 12 12 0 EA 1.65 EA 19.80
Polypropylene Male Elbow
THANK YOU for your business' • • •
1.5%MONTHLY FINANCE CHARGE
ON AMOUNTS 30 DAYS PAST DUE 73.56 0.00 0.00 0.00 12.87 86.43
Discounts Apply to Merchandise Only
Should it become necessary to refer your unpaid balance to a collection agency,a collection fee,not to exceed 25%of the
balance referred;plus reasonable attorney's fees;and court costs when necessary,will be added to the balance due.
Please Detach and Return Bottom Portion to Insure Proper Credit to Your Account
Important Terms & Conditions
Prices: Market price fluctuations and occasional errors make it necessary for us to reserve the right to
change prices without notice. All accounts must pay in U.S. dollars.
Payment: Net30 days from date of invoice. Interest at the rate of 1.5% per month will be charged on
all accounts unpaid 30 days after invoice due date.
Shipping: Orders are shipped FOB USABIueBook, or factory, by the most efficient means available.
Freight charges will be added to invoices for open account customers. Separate freight charges may
apply if an order contains items which ship from multiple suppliers.
Returned Goods: Please contact Customer Service prior to returning merchandise for a Return
Authorization number. Products without return authorization numbers, original serial number or other
original markings may not be returned, exchanged or warranted. To ensure full credit, please return
all accessories. After 30 days, items are not returnable except for repair or replacement per the
manufacturer's warranty policy. Special order items and hazardous materials are not returnable.
Damage Claims: We take great care in filling, checking and packing your order. On rare occasions,
a package is damaged or lost in transit. If damage is evident, refuse the shipment. If damage was
conceaied, call us for a Return Authorization#. If shipped via truck, state shortage or damage on
bill of lading, then call Customer Service.
Quotations: All prices normally expire 30 days from date of quote and USABIueBook reserves the
right of final acceptance. Prices quoted do not include taxes.
International Orders: Pro forma invoices are sent on request. We accept certified checks, wire
transfers of funds or irrevocable letters of credit. Send all inquiries to the attention of Export
Department, USABIueBook. Standard export quotation pricing in U.S. dollars is FOB plant/factory or
FOB USABIueBook, or factory, if applicable. Cost and Freight(C&F)and Cost Insurance Freight(CIF)
quotations will be offered on request. International orders requiring special handling, packaging,
consular invoices, certificates of origin, inspection certificates, etc. are subject to additional charges.
O.S.H.A.: All items shown as meeting specific Federal Occupational Safety and Health Act(OSHA)
standards are, to the best of our knowledge, identified by their suppliers as complying with OSHA
design standards. In view of the fact that the actual use determines whether all OSHA requirements
have been met, the ultimate responsibility to comply rests with our customers.
Professional Use Only: The items in this catalog are intended to be used only by professionals in the
water and wastewater industry. Supplemental training, permits, or licenses may be needed to use
items in this catalog. Many items in this catalog can be harmful if used improperly; if in doubt, do not
use them. We strongly recommend reading and following the manufacturers'warnings, instructions
and procedures carefully. Please contact the factory before proceeding if you think you have a
problem.
Warranty Disclaimer: USABIueBook has made a diligent effort to illustrate and describe the products_
i
VOUCHER # 131795 WARRANT # ALLOWED
352777 IN SUM OF $
USA BLUE BOOK
PO BOX 9004
GURNEE, IL 60031-9004
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Carmel Water Utility
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ON ACCOUNT OF APPROPRIATION FOR
Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
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964752 01-6200-04 $86.43
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Voucher Total $86.43
Cost distribution ledger classification if
claim paid under vehicle highway fund f
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Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352777
USA BLUE BOOK Purchase Order No.
PO BOX 9004 Terms
GURNEE, IL 60031-9004 Due Date 6/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2013 964752 $86.43
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
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Date icer